Privacy preserving strategies for electronic health records in the era of large language models

Electronic health records (EHRs) secondary usage with large language models (LLMs) raise privacy challenges. National regulations like GDPR and HIPAA offer protection frameworks, but specific strategies are needed to mitigate risk in generative AI. Risks can be reduced by using strategies like priva...

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Main Authors: Jitendra Jonnagaddala, Zoie Shui-Yee Wong
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-025-01429-0
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author Jitendra Jonnagaddala
Zoie Shui-Yee Wong
author_facet Jitendra Jonnagaddala
Zoie Shui-Yee Wong
author_sort Jitendra Jonnagaddala
collection DOAJ
description Electronic health records (EHRs) secondary usage with large language models (LLMs) raise privacy challenges. National regulations like GDPR and HIPAA offer protection frameworks, but specific strategies are needed to mitigate risk in generative AI. Risks can be reduced by using strategies like privacy-preserving locally deployed LLMs, synthetic data generation, differential privacy, and deidentification. Depending on the task, strategies should be employed to increase compliance with patient privacy regulatory frameworks.
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spelling doaj-art-8ca461563dfb423e9f1f04ade8ff58f62025-01-19T12:39:43ZengNature Portfolionpj Digital Medicine2398-63522025-01-01811310.1038/s41746-025-01429-0Privacy preserving strategies for electronic health records in the era of large language modelsJitendra Jonnagaddala0Zoie Shui-Yee Wong1School of Population Health, UNSW SydneyGraduate School of Public Health, St. Luke’s International UniversityElectronic health records (EHRs) secondary usage with large language models (LLMs) raise privacy challenges. National regulations like GDPR and HIPAA offer protection frameworks, but specific strategies are needed to mitigate risk in generative AI. Risks can be reduced by using strategies like privacy-preserving locally deployed LLMs, synthetic data generation, differential privacy, and deidentification. Depending on the task, strategies should be employed to increase compliance with patient privacy regulatory frameworks.https://doi.org/10.1038/s41746-025-01429-0
spellingShingle Jitendra Jonnagaddala
Zoie Shui-Yee Wong
Privacy preserving strategies for electronic health records in the era of large language models
npj Digital Medicine
title Privacy preserving strategies for electronic health records in the era of large language models
title_full Privacy preserving strategies for electronic health records in the era of large language models
title_fullStr Privacy preserving strategies for electronic health records in the era of large language models
title_full_unstemmed Privacy preserving strategies for electronic health records in the era of large language models
title_short Privacy preserving strategies for electronic health records in the era of large language models
title_sort privacy preserving strategies for electronic health records in the era of large language models
url https://doi.org/10.1038/s41746-025-01429-0
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